| Code | Description | Claims | Beneficiaries | Total Paid |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
19,005 |
10,111 |
$2.57M |
| T1016 |
Case management, each 15 minutes |
35,402 |
16,784 |
$1.48M |
| H2014 |
Skills training and development, per 15 minutes |
19,974 |
5,956 |
$1.44M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,395 |
1,658 |
$761K |
| H0031 |
Mental health assessment, by non-physician |
1,721 |
1,705 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,496 |
1,455 |
$217K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,404 |
1,371 |
$120K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
2,171 |
894 |
$66K |
| T1002 |
Rn services, up to 15 minutes |
575 |
426 |
$21K |
| S5151 |
Unskilled respite care, not hospice; per diem |
110 |
82 |
$15K |
| 99215 |
Prolong outpt/office vis |
28 |
27 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$2K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
228 |
170 |
$870.75 |
| S0215 |
Non-emergency transportation; mileage, per mile |
25 |
14 |
$0.00 |